ANGELA R MARSHALL PSYD INC


Address: 2525 W Vernal Pike, Bloomington, IN 47404-2782
Phone: 8123455114

ANGELA R MARSHALL PSYD INC (NPI# 1033394101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033394101
Entity Type Organization
Organization Name ANGELA R MARSHALL PSYD INC
Practice Address 2525 W Vernal Pike
Bloomington
IN 47404-2782
Mailing Address Po Box 96
Smithville
IN 47458-0096
Practice Telephone 8123455114
Practice Fax Number 8123390369
Mailing Telephone 8128248787
Mailing Fax Number 8128248825
Enumeration Date 2008-01-08
Last Update Date 2009-02-04
Authorized Official Name LEE D GODSEY (BILLING MANAGER)
Authorized Official Telephone 8128248787
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
20041898A IN Behavioral Health & Social Service Providers

Office Location

Street Address 2525 W VERNAL PIKE
City BLOOMINGTON
State IN
Zip Code 47404-2782

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1477952109 Teresa R. Foster Social Worker 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 2014-08-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154885028 Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc Psychologist 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 2019-01-24
1053894501 Thrive Psychology Services, LLC Psychologist 4120 W Dresden Dr, Bloomington, IN 47404-8403 2018-09-11
1194184465 Chjl LLC Psychologist 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 2016-02-16
1992100077 Lindeman and Associates, LLC Psychologist 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 2014-10-30
1255772174 Amanda Quinby Psychologist 205 N College Ave Ste 512, Bloomington, IN 47404-3952 2013-07-08
1457609802 Jason Vasquez Psychologist 2416 Washington, A-3, Bloomington, IL 61704 2012-08-16
1710282058 Annorah Sheeran Moorman Psychologist 1319 Fell Ave, Bloomington, IL 61701-1828 2011-01-18
1477860609 Hoffmann Burchett Psychological Services, LLC Psychologist 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 2010-09-09
1356654693 James Wiltz Psychologist 2745 E Elderberry Ct, Bloomington, IN 47401-4307 2010-07-15
1528207784 Jennifer Elizabeth Koch Psychologist 2502 E Empire St Ste C, Bloomington, IL 61704-3739 2009-02-11
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Competitor

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City BLOOMINGTON
Zip Code 47404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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